Ambassador for Peace Medal Application Form
* Mandatory fields Internal Reference Number:
1) *Veteran’s Full Name:
2) *Date of Birth: 3) *Service Number:
4) *Service Date in Korea (Please note, to be eligible, the veterans must have served during the Korean War from 25 June 1950 to 27 July 1953):
5) *Service Branch (Please circle as appropriate): RN / RM / ARMY / RAF 6) *Regiment during the Korean War:
7) *Rank during the Korean War:
If you are the veteran detailed above, please go to part 11.
If you are applying on behalf of a living veteran, please go to part 10.
If you are applying on behalf of a deceased veteran, please go to part 8.
8) Relationship to the Deceased Veteran (Please note that you must be the official Next of Kin in order to apply):
9) The Veteran’s Date of Death:
10) Full Name of Applicant (Not Veteran):
11) Telephone Number: 12) Email Address:
13) *Postal Address Medal to be sent:
14) Is this your first application, if not please specify:
I confirm that the information I have given is accurate and complete to the best of my knowledge and belief.
Signature Date / / - Please provide a copy of the veteran’s Certificate of Release or Discharge
from active duty for verification purposes.
- Please note, Medal will take up to 3 months to be delivered.
- Return Address: Office of the Defence Attaché, Embassy of the Republic of Korea, 60 Buckingham Gate, London, SW1E 6AJ (Email: [email protected])